HomeMy WebLinkAboutPermit Building 2000-4-12
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I Job# 00-00378-01 I
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Page 1 of4
TRANS#:01-0001207
DATE:APR 122000
AMT RECD:2 $ 4059.68
CHANGE:
CASHIER: 059
SPRINGFIELD
;)~.
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00378-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 807 Fairwiew Dr Spr
Assessors Map#: 17032742
Lot: Block: Addition:
Tax Lot #: 00800
Subdivision:
Help-'J J~;MS
'<Ui\1,~:~.o' O'St1lrL .
Address: 8~il'l~DrrM7i\1l>l OO/~:> City/State/Zip:
~ ~ (tSo'(', &~.2h..::o'...l
Scope Of Work: Manufacl5fe.sl/~Om'~&!::"~o:OII>'Oo!;lew
l!t/o'..r~ S'Oi\1/7 S'Qi\1~ l-ii\1t>-
Mfgd Home with garag~k1il~ ~ep\I~~JlIY,
... vO'~ --<"/1>'
Contractor Type Contractor .~\) o'S/f..;./,
General Cont~, M & A Construction Inc , '1'/'0111
fo/,'{I/;::,\, 916 Prescott Lane. Sprin9field. OR 97477
EI 'I C;'..... 70/111,. 'G'll", N lEI t'
ectnca lont'qr.- u/€" .;~' "7..!; ec nc
olo,;?"It::rr,lOI) (4.7,_15?QoiHollow Road, Eugene. OR
<:10 <:IS",. . 97~03 'ea 6 ~'" c-
081;' You r UUI.n:" 'rf,. -VI!)" Y<';{i--
Manuf,"Q.m~lnslall&,Sunliurst eonte!nP~)JJ:lry Homes Inc
'-1""'1;, ~ tf), .Y of) . v r!?,> -. UI ....YO ~ -I..
, a/fo @C&~P. ErOl,< ?160~.)EUg~ne?O.~97402-0410
^ 'l"th_ 9, (\ ~O"'L . 0"",-. &$.0. ,'II.
- '~I)I!O,!~ vr&g~ '01&: it;' Of I!)~ &S"v'UOffice Use
7.n 'l)V/,', &I&/, 'rllt. V.
Quad Area: 2RNW'If)'?"blttyll/. ?-?!).'j;ihi!:use: Mfg Home - Not in a Par
# Of Units: 1 "'~?'4~'I"Cq'%!fning Code: LOR
Constr. Type: (VN) Wood Frame' W.rdrooms: 4
Water Heater: Electric Range: Electric
Owner:
Phone Number: 541-747-7073
Srinfield, OR 97477
Value: $49,500
Registration #
88928
Expiration Date
Phone
541-747-6504
02/11/2001
93953
09/21/2000
541-485-2472
58756
03/09/2001
541-461-6541
# Of Buildings: 1
Occupancy Group: Dwelling
Heat Source: Forced Air Electric
Sq. Footage: 1900
Verify Ground Rod
Footing
Foundation
Slab
Final Building
To request an inspection call the 24 hour recording at 726-3769, All inspections requested before 7:00
a,m, will be made the same working day, inspections requested after 7:00 a,m, will be made the following
working day. '
iRequired-lnspections :
I Building I
-Install ground rod at footing, and call for inspection in conjuction with footing and/or foundation i
-After trenches are excavated,
-After forms are erected but prior to concrete placement.
- To be made after all inslab building service equipment. conduit piping, and other equipment ite
-When all required inspections have been approved and the building is complete,
MH Electrical
Electrical Service
[ Electrical I
-When blocking, setup. and plumbing inspections have been approved and the home is connect
-Must be approved to obtain permanent power.
I Job# 00-00378-01 I
rRequirelflnspections I
I Plumbing I
-After home has been connected to water and sewer,
- Prior to filling trench,
- Prior to filling trench,
- Prior to filling trench,
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j MH Plumbing
Water Line
Sanitary Sewer Line
Storm Sewer Line
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Curbcut
I Public Works I
-After forms are ereceted but prior to placement of concrete,
.Streeflmprovement: Fullylmproved
purDCiif?]7I Improvement Agr. (
:SanSewer Depth-(Ft)': E:JBD
,;:norm ",ewer AvailaDle?l7l
rSpeciarReq.:
SecurifYRequired;
,Bond"BeginDateTime:
,Speciannstructions: I
Other Utilities:
rSiaewalltType:
;c.C101tlonal KUW?
.Curl5Siae=-5'
I I
o
il"oDrywell:ProviaeDrywell"El
:Size Ot[jne (iii):
Downspouts/Drains;
EnchroachmenfPermit:
,
rSansewer Tee (iii):
OOIOOIOOOO-OO:OO-A-1 Bond"End"DateTime:
. '.
Roofarainage to drywell(s) wi oveiflow to curb weep hole.
Types urWarning Devices ReqdJ
Comments:Partition currently under review
,Planner: ,Sarah-::;ummers I
.mllan GroWlh-Boundary?n ~lenwooa-Area?Tl
QuantifYOfFiII~ I
Supplier: I
l.....-.._.'-----l
Drainage; I
' ,
Floodway FEMA; ilia
Construction TypesfVNfWood"Frame
Occupancy Groups:Dwelling
# Of Buildings: L::J
# Of Bedrooms: ~
Handicap Access? n
"--'
iArea (Sq. Feet)
I Main: i1900~ Accessory:
Projecfsupervisor:
Zoning: LUK
.FloollPlain?'l /Netlanlls?Tl
_aOUriliiI numller:-
1: 1999-03-0089
2:
Fee
Residential Plan Check
Total Plan Check
Building Permit
I
o
POIOOIOOOO.OO:OO-Al
I
9verlay District: I
~ofStreefTrees: n
,Land"Use: MfgRome . Nonn a Parkl
.pave Driveway 1:7]
3:
AaaitionarRequirements:,1
Required-Attachments: I
source Locn: L
IMaterial: I
-~
1
Flood"l'lainFEMA: nfa
I I
I I I
# Of Stories: L::J Height (feet): I
Current Units:1i Proposed Units:~
Census Code: New Mfg-Rome I
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Total:1900
Paid On Receipt#
Plan Check
03/09/2000 883
Value/Quantity
Fee Amount
3.000
$25,03
$25.03
Building
04/12/2000 1207
4,500
$50,50
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Fee
!J
State Surcharge For Building Permit
Building Administrative Fee
Total Building
Manufactured Home ServicelFeeder
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
Minimum Plumbing Permit Fee
State Surcharge For Plumbing Permit
Water Service Footage
Sanitary Sewer Footage
Storm Sewer Footage
Manufactured Home Connection
Plumbing Administrative Fee
Total Plumbing
Manufactured Home Setup Fee
Manufactured Home State Issuance
State Surcharge For Manufactured Hom
Manufactured Home Administrative Fee
Total Manufactured Home
New Curbcut
Total Public Works
Residential - Single Family - Storm
Sanitary Sewer
Residential Transportation
Residential Sanitary MWMC
Residential Improvement MWMC
MWMC Administrative Fee
SDC Administrative Fee
Total System Development
SF Residence - Willamalane
Total Willamalane SDC
Grand Total
Plan Check Type
Initial Review-Res
Engineering-Res
Planning-Res
Structural-Res
Checked By
Lisa Hopper
Steve Templin
AlWard
Don Moore
Job# 00-00378-01 I
Paid On Receipt#
Building
04/12/2000 1207
04/12/2000 1207
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Value/Quantity Fee Amount
$3,54
$1.52
$55.56
2 $80.00
$5,60
$2.40
$88.00
$,00
$9,45
80 $40,00
80 $40,00
80 $40.00
1 $15,00
$4,05
$148.50
45.000 $105,00
1 $30,00
$7,35
$3,15
$145.50
1- $60_00
$60.00
3,053 $708,30
20 $965.40
1 $491,60
1 $242,76
1 $22,05
1 $10.00
$122,01
$2,562.12
1 $1,000,00
$1,000.00
$4,084.71
Electrical
04/12/2000 1207
04/12/2000 1207
04/12/2000 1207
Plumbing
04/12/2000 1207
04/12/2000 1207
04/12/2000 1207
04/12/2000 1207
04/12/2000 1207
04/12/2000 1207
04/12/2000 1207
Manufactured Home
04/12/2000 1207
04/12/2000 1207
04/12/2000 1207
04/12/2000 1207
Public Works
04/12/2000 1207
System Development
04/12/2000 1207
04/12/2000 1207
04/12/2000 1207
04/12/2000 1207
04/12/2000 1207
04/12/2000 1207
04/12/2000 1207
Willamalane SDC
04/12/2000 1207
Date Completed
03/13/2000
03/29/2000
04/05/2000
04/07/2000
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· I Job# 00-00378-01 I . Page 4 of 4
By signature, I state and agree, that I have carefully examined the completed application and do
hE!reby certify that all information hereon is true and correct, and I further certify that any and all work
:/ performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of
the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made
of any structure without permission of the Community Services Division. Building Safety, I further
certify that only contractors and employees who are in compliance with ORS 701.055 will be used on
this project
I further agree to ensure that all required inspections are requested at the proper time, that each
address is readable from the street, that the permit card is located at the front of the propery, and the
approved set of plans will remain on the site at all times during construction,
?fJUy,.A\ ~j tMJ~,.J ~ /1 ~ /J2)
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ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER 00-00378-01
NAME OR COMPANY: HELEN JENNINGS
LOCATION: 807 FAIRVIEW
TAX LOT NUMBER 17-03-27-42-00800 PARCEL 2 OF 2000-P1322
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
DWELLING UNITS:
BUILDING SIZE:
2300
LOT SIZE:
12527
1. STORM DRAINAGE
IMPERVIOUS SQ. FT.
3053.00
x
$0.232 PER SQ. FT,
$708.30 I
2. SANITARY SEWER-CITY
NUMBER OF PFU's
(SEE REVERSE SIDE)
20
x
$48.27 PER PFU
$965.40 I
3. TRANSPORTATION
NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP
TOTAL TRANSPORTATION SDC
$491.60 I
$0.00
$491.60 I
x
x
LOt
x $486.73 PER TRIP
x $486.73 PER TRIP
4. SANITARY SEWER - MWMC
A, REIMBURSEMENT COST:
NUMBER OF FEU's
x
$242,76
PER FEU
$242.76 I
B. IMPROVEMENT COST:
NUMBER OF FEU's
x
$22.05 PER FEU
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I $274.81 I
, $2,440.111
$22.05 I
. $0,00 I ,
$10.00 I
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
TOTAL MWMC SDC
SUBTOTAL (ADD ITEMS 1,2,3. & 4)
5, ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) x
0.05
$122.01 I
~I'~,,",,!
SDC cOORIiINA TOR
~ ("LoD= _
DATE
TOTAL SDC CHARGES I $2,562.121
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PLUMBING FIXTURE UNIT (PFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = PLUMBING FIXTURE UNITS
(NOTE, FOR 1l.EMODELS. CALCULA TE ONLY THE NET AOOITIONAL FIXTURE~)
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FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASElOIUSOLIDS/ETC.
, INTERCEPTORS FOR SAND/AUTO W ASH/ETC.
LAUNDRY TUB/CLOTHESW ASHERlMOP SINK
CLOTHESW ASHER - 3 OR MORE
MOBILE HOME PARK TRAP (1 PER TRAILER)
RECEPTOR FOR REFRIGERA TORIW A TER ST A TIONIETC.
RECEPTOR FOR COMMERCIAL SINK! DISHW ASHERlETC.
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: BAR, COMMERCIAL, RESIDE,NTIAL KITCHEN
URINAL,STALLAVALL
WASH BASINILA V A TORY, SINGLE OR DOUBLE
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS:
FIXTURES
NEW OLD
2
2
2
UNIT
EQUIVALENT
2
1
2
3
'6
2
6
6
I
3
2
I
2
2
I
6
4
PLUMBING
FIXTURE
UNITS
4
o
o
o
o
2
o
o
o
o
2
o
2
o
2
o
8
o
o
o
TOTAL PLUMBING FIXTURE UNITS~I 20
CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEP ARA TEL
YEAR
ANNEXED
1979 or before
1980
1981
1982
1983
1984
1985
1986
1987
1988
RATE PER $1,000
ASSESSED VALUE
$4.47
$4.38
$4,32
$4,20
$4,03
$3,88
$3.68
$3,38
$3.03
$2.62
YEAR,
ANNEXED
1989
1990
1991
1992
1993 '
1994
1995
1996
1997
1998
RATE PER $1,000
ASSESSED VALUE
$2.18
$ 1.75
$ 1.35
$ LI7
$ 1.03
$0,86
$0.71
$0.57
$0.39
$0,18
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE
IMPROVEMENT (IF AFTER ANNEXATION DATE)
x
x
$0.00
$0.00
CREDIT TOTAL $0.00
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fb~'O\\\0
q,.fb 0..'>$
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225 FIFTH STREET '(<'0\0\,.": 'I"
SPRINGFIELD, OREGON 9fqif,0~'b" 1-0'" ~
INSPECTION REQUEST: 72~769
OFFICE: 726-3759 o~~
r..'b-\.0 ,:\.0
v 0"
1. LOCATION OF INSTALLJ.TION.t~~~_
~Of) ~,,~ ~ A.
LEGAL DESCRIPTION \'lD3~')t\'1-_,./')
~1.- ll.-3 -&DD ~O~~"Q.. ~ nO<t:V"'
o JOB DESCRIPTION \. , .
,. \0.. o./'rl.D..ld- ~ rrJ. GY nDOU.....
-- - L> {jlJ
Permits are non-transferable and expire
if work is not started within 180,days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor C/~ ,of'<<! c7,...,-{'(':L
Address ~7/5 FD><; Ijollvw ~J.
d::>97405
City Evy/Y? t:, {J('.. Phone 4KT-;;J'-f7L
Supervisor License Number 3.57 \? S
Expiration Date
/0 -{)/-OJ
Constr Contr. Number 93955
Expiration Date /0/0 (J
, Signa~~, of Supervising Electrician
/.2.f/; A~ 7/ 71(' fl ~
o:ners Namlt 1\9. \. 01... .\.J r\ f\ \.cOO
Address PD~ ~\)\QA''') ~.
Cit~ ~~a~Phone \4"\;'1l""0
OWER INSTlt.hTION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE:
RECEIPT ll:
RECEIVED BY:
ELECTRICAL PERKIT APPLICATION
City Job NumberfJO-60 3-1-8"-0 ~
3.
COMPLETE FEE SCHEDULE BELOV
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
,B.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular, 'Dwelling
Service or 'Feeder ~
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to, 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
Items
Cost Sum
S 85.00
$ 15.00
,$ 40.00 ~
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C,
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circui ts
$ 40.00
$ 55.00
$ 80.00
see "B" above
,"
New, Alteration or Extension Per Panel
One Circui t
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation .
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40,.00
$ 40.00
$ 20.00
$ 36.00
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I/IIW ~1''''Willamalane
~,-",!, Park & Recreation District Job. No.OO:D03Wl
"'W SYSTEM DEVELOPMENT CHARGE
\ WORKSHEET
NAME,J\.~ '\\~ PHONE,t'\TlOl9J
ADDRESS:-0b~ ~ii) t:>C STATE:~ZIP: 01117
LOCATION OF PROPOSED BUILDING SITE:
Street Address: eDf'\ ~\)iQ.u) \\\ .
Plat Name:~\O.C\C\.D3.\f)~C\Tax Lot Number:~_ fYji,rJ)
1. DEVELOPMENT TYP.I; (Check appropriate dwelling(s). SDC calculations and dwelling t
ype delinitions are on the back.)
A. SinolA-Fflmilv DAlpchAO.
Single Family home
NO. OF UNITS \
\ Manufactured home not in a park
X $1,000 per unit = $ \il1J.W
B. ~inoIA-Fllmilv ~ChArl
NO. OF UNITS
X $924 per unit ,- $
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. MWltlfllclurerl Home Pflrl~
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit c $
$ lonO ,00
j/
2. SDC CREDIT (II applicable) SDc-payer must furnish proof of
Willamalane Credit approval. See SDC Credit Worl<sheet. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(II SDCreduced for Credit)
\~ -
Development Servic&,s >pepartment Date
City of Springfield
$ tWD.ctJ
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